Individual
MRS. GEORGIA STAR LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1339 MIDDLE SCHOOL RD, KINGSLAND, GA 31548-6227
(912) 729-7936
Mailing address
1339 MIDDLE SCHOOL RD, KINGSLAND, GA 31548-6227
(912) 729-7936
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
470101090256673
PA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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